Step-CoT: Stepwise Visual Chain-of-Thought for Medical Visual Question Answering

Chain-of-thought (CoT) reasoning has advanced medical visual question answering (VQA), yet most existing CoT rationales are free-form and fail to capture the structured reasoning process clinicians actually follow. This work asks: Can traceable, multi-step reasoning supervision improve reasoning accuracy and the interpretability of Medical VQA? To this end, we introduce Step-CoT, a large-scale medical reasoning dataset with expert-curated, structured multi-step CoT aligned to clinical diagnostic workflows, implicitly grounding the model's reasoning in radiographic evidence. Step-CoT comprises more than 10K real clinical cases and 70K VQA pairs organized around diagnostic workflows, providing supervised intermediate steps that guide models to follow valid reasoning trajectories. To effectively learn from Step-CoT, we further introduce a teacher-student framework with a dynamic graph-structured focusing mechanism that prioritizes diagnostically informative steps while filtering out less relevant contexts. Our experiments show that using Step-CoT can improve reasoning accuracy and interpretability. Benchmark: github.com/hahaha111111/Step-CoT. Dataset Card: huggingface.co/datasets/fl-15o/Step-CoT

Multicoated and Folded Graph Neural Networks with Strong Lottery Tickets

The Strong Lottery Ticket Hypothesis (SLTH) demonstrates the existence of high-performing subnetworks within a randomly initialized model, discoverable through pruning a convolutional neural network (CNN) without any weight training. A recent study, called Untrained GNNs Tickets (UGT), expanded SLTH from CNNs to shallow graph neural networks (GNNs). However, discrepancies persist when comparing baseline models with learned dense weights. Additionally, there remains an unexplored area in applying SLTH to deeper GNNs, which, despite delivering improved accuracy with additional layers, suffer from excessive memory requirements. To address these challenges, this work utilizes Multicoated Supermasks (M-Sup), a scalar pruning mask method, and implements it in GNNs by proposing a strategy for setting its pruning thresholds adaptively. In the context of deep GNNs, this research uncovers the existence of untrained recurrent networks, which exhibit performance on par with their trained feed-forward counterparts. This paper also introduces the Multi-Stage Folding and Unshared Masks methods to expand the search space in terms of both architecture and parameters. Through the evaluation of various datasets, including the Open Graph Benchmark (OGB), this work establishes a triple-win scenario for SLTH-based GNNs: by achieving high sparsity, competitive performance, and high memory efficiency with up to 98.7\% reduction, it demonstrates suitability for energy-efficient graph processing.